KAREN REESE CASTLE FNP
NPI 1639311335
Nurse Practitioner - Family in Douglasville, GA

Active since March 27, 2009PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
4904 TIMBER RIDGE DR, SUITE 104, DOUGLASVILLE, GA 30135(770) 942-4822(770) 942-5311 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen Reese Castle Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN REESE CASTLE FNP (NPI 1639311335) is an individual family provider in Douglasville, Georgia, licensed in Georgia (RN150641) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Wellstar Douglas Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1639311335
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN REESE CASTLECredential: FNP
Location Address4904 TIMBER RIDGE DR, SUITE 104Douglasville, GA 30135-1828
Mailing Address4904 Timber Ridge Dr, Suite 104Douglasville, GA 30135-1828 · (770) 942-4822 · Fax (770) 942-5311
Fax(770) 942-5311
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 27, 2009
Last NPPES UpdateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
NPI 1639311335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN150641
4904 TIMBER RIDGE DR, Douglasville, GA 30135

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Karen Reese Castle Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143379032
PECOS Enrollment IDI20090526000299
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
66 services41 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
4904 TIMBER RIDGE DR, SUITE 202B
DOUGLASVILLE, GA 30135
Internal Medicine (Gastroenterology)
4904 TIMBER RIDGE DR, SUITE 202A
DOUGLASVILLE, GA 30135
Surgery
4904 TIMBER RIDGE DR, SUITE 104
DOUGLASVILLE, GA 30135
Surgery
4904 TIMBER RIDGE DR, SUITE 104
DOUGLASVILLE, GA 30135
Specialist
4904 TIMBER RIDGE DR, SUITE101
DOUGLASVILLE, GA 30135
Surgery
4904 TIMBER RIDGE DR, SUITE 104
DOUGLASVILLE, GA 30135
Internal Medicine (Cardiovascular Disease)
4904 TIMBER RIDGE DR, STE 102
DOUGLASVILLE, GA 30135
Psychiatry & Neurology (Neurology)
4904 TIMBER RIDGE DR, SUITE 305
DOUGLASVILLE, GA 30135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Castle's NPI number?

The NPI number for Karen Castle is 1639311335. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Karen Castle located?

Karen Castle practices at 4904 Timber Ridge Dr Suite 104, Douglasville, GA 30135. The listed phone number is (770) 942-4822.

What is Karen Castle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Castle enrolled in Medicare?

Yes. Karen Castle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karen Castle accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Karen Castle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karen Castle affiliated with any hospitals?

According to CMS data, Karen Castle is affiliated with Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Castle was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.